Individual
MS. MARITZA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9116 91ST ST, WOODHAVEN, NY 11421-3019
(646) 256-8715
Mailing address
9116 91ST ST, WOODHAVEN, NY 11421-3019
(646) 256-8715
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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